Pierrela Mikael Longchamp

Primary specialty

Adult Health Nurse PractitionerTaxonomy code 363LA2200X

License

11019123 Issued in FL

Practice address

811 Dateland Rd SE
Palm Bay, FL 32909-6681

Phone

(754) 244-3241

NPI assigned

Apr 14, 2022

Last updated

Apr 14, 2022By the provider in NPPES

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Interoperability endpoints

• Direct secure messaging: pierrela.longchamp.p1@direct.alegiscare.nextgenshare.com

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1649894400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1649894400000",
    "number": "1023751377",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "811 DATELAND RD SE",
            "city": "PALM BAY",
            "state": "FL",
            "postal_code": "329096681",
            "telephone_number": "754-244-3241"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "811 DATELAND RD SE",
            "city": "PALM BAY",
            "state": "FL",
            "postal_code": "329096681",
            "telephone_number": "754-244-3241"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LONGCHAMP",
        "first_name": "PIERRELA",
        "middle_name": "MIKAEL",
        "name_prefix": "Mrs.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-04-14",
        "last_updated": "2022-04-14",
        "certification_date": "2022-04-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "FL",
            "license": "11019123",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Load N Dash Inc
• Jason L Lockridge, M.D.
• Pamela Anne Loftus
• Shannon Logan
• Carissa Long, HOME HEALTH
• Daniela Lopez Alvarez
• Maribel Lopez-Borges, MD
• Margaret M Lopez-Grenville
• Yasmyn Lopez-Tompkins
• Ashley Lopez

• Adult Health Nurse Practitioner in Palm Bay, FL
• Providers in Palm Bay, FL by specialty
• Adult Health Nurse Practitioner in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.